HomeMy WebLinkAboutBurn Permit 9/97
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PERl\'UI lEE INFORMATION
Name bJf'.'{ C~, ,1I./2J1l.nJ<,yJ
Address %7 / /1,1A4tv~t. )A .lJlE..
City /l</crz hL/ Sta$~ ZiP.6:.<> 7~-
Telephone Number Lj L/ ~ J J -6 tJ
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BURN SITE LOCAfI()N I
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BURNING PERMIT FOR SCOTT COUNTY
BURNING PERMIT CONDITIONS (Check those that apply)
. ~ED MATERIAL (Clean Wood) /J
(Specify) C ~/ j AI o-tnI/ .
# Piles! Approx. Pile Size J -- / ~
o RUNNING FIRE (Grassland)
Size of Area in Acres
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Township /1;: 't.'/1 ~Ap
Address <1L:J4LP
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o SPECIAL CONDITIONS
City
EFFECTIVE DATES: From: M ? /D j(/ N tj.,Z To: M/V /D :r-; 9;/-
DAILY HOURS: From: ~rA~ ., TO:~A~ OR 0 ALLDAY
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This permit is valid for open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805, MS f] 6, Minn. Uniform Fire
code, and local ordinances. The permittee is granted permission to burn the above described materials at the specified location
during the dates and times listed above.
FIRE SAFETY AND AIR QUALITY REQUIREMENTS
I AGREE:
· To keep this fire under control and to assume responsibility for all damages and costs that may result from
burning done under this permit.
· To attend this fire until completely extinguished.
· Not to bum if there is a practical alternatIve method for disposal of the material such as chipping or composting.
· To use a clean burning device to start the fire.
· Not to conduct burning during any air quality alert.
· Not to bum paper or cardboard except as provided under Minnesota Statutes 17.135.
· To extinguish the fire immediately if this l?ermit is revoked.
· To have this permit available at the bum SIte for inspection.
· That prevailing wind must be away from nearby occupied buildings.
· That fites will not be allowed to smolder without flame.
PROIDBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
treated .Iumb~r; composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrIal soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMI llbE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I hav. e read and will comply with the condir:tt'on and any attachme7Jts this permit; and that I am the
landowne;;pr have permission ql.{he landowner to burn at the above burn ite I cation.
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,. . ~'sSignature . /'-..J Date 7 APP~~uthority l'atu:e ,
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Date
9-/1-97
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J ' BURNPlMT.DOC
Revised 7/31/97